msnbabs001
Contributor
My question has to do with when a dr has too much information in notes. This has to do when a dr has enough in office visit notes for 99214 or 99215.
I have a dr that has a scribe so he always has complete PFSH & Exam information. I have asked him to include the time in his notes to help me with coding. So if his time is 15 minutes but his notes are enough for higher is it considered down coding to bill 99213. I realize I need to read the notes as well. The other side if the notes are enough for 99214 but it has noted time of 15 minutes is it correct to bill as 99214 or should it be 99213?
Thank you for your help!
Barb
I have a dr that has a scribe so he always has complete PFSH & Exam information. I have asked him to include the time in his notes to help me with coding. So if his time is 15 minutes but his notes are enough for higher is it considered down coding to bill 99213. I realize I need to read the notes as well. The other side if the notes are enough for 99214 but it has noted time of 15 minutes is it correct to bill as 99214 or should it be 99213?
Thank you for your help!
Barb